﻿<%@ Page Title="" Language="C#" MasterPageFile="~/common/Admin.master" AutoEventWireup="true" CodeFile="ApplicationConfirm.aspx.cs" Inherits="product_card_admin_ApplicationConfirm" %>

<asp:Content ID="Content1" ContentPlaceHolderID="html_css" Runat="Server">
</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="html_js" Runat="Server">
</asp:Content>
<asp:Content ID="Content3" ContentPlaceHolderID="leftMenu" Runat="Server">
    
   
 
</asp:Content>
<asp:Content ID="Content4" ContentPlaceHolderID="content" Runat="Server">
    
 <p>
        <br />
        <asp:Label ID="Label101" runat="server" Font-Bold="True" Font-Size="X-Large" 
            Font-Underline="True" ForeColor="Red" 
            Text="Applications pending for debit card service"></asp:Label>
        <br />
        <br />
        <fieldset>
      <legend>  <asp:Label ID="Label3" runat="server" Font-Bold="True" Font-Size="Large" 
            Font-Underline="True" ForeColor="Red" Text="Personal Information"></asp:Label></legend>
        <br />
        <br />
        <asp:Label ID="Tittle" runat="server" Text="Tittle"></asp:Label>
&nbsp;:&nbsp;
        <asp:DropDownList ID="DropDownList1" runat="server">
            <asp:ListItem>Mr</asp:ListItem>
            <asp:ListItem>Mrs</asp:ListItem>
            <asp:ListItem>Ms</asp:ListItem>
            <asp:ListItem>Mdm</asp:ListItem>
            <asp:ListItem>Dr</asp:ListItem>
        </asp:DropDownList>
        <br />
        <br />
        <asp:Label ID="Name" runat="server" Text="First Name "></asp:Label>
&nbsp;:
        <br />
        <br />
        <asp:TextBox ID="N" runat="server">Kenny</asp:TextBox>
            <br />
            <br />
            <asp:Label ID="Label4" runat="server" Text="Last Name :"></asp:Label>
            <br />
            <br />
        <asp:TextBox ID="N0" runat="server">Chua</asp:TextBox>
        <br />
        <br />
        <asp:Label ID="Number" runat="server" Text="Contact Numbers (Choose either):"></asp:Label>
&nbsp;<br />
        <br />
        Home :
        <asp:TextBox ID="Home" runat="server">63642010</asp:TextBox>
        <br />
        <br />
        Office :
        <asp:TextBox ID="Office" runat="server"></asp:TextBox>
        <br />
        <br />
        Mobile :
        <asp:TextBox ID="Mobile" runat="server"></asp:TextBox>
        <br />
        <br />
        Email :
        <asp:TextBox ID="Email" runat="server">kennychua@hotmail.com</asp:TextBox>
        <br />
        <br />
        Name to appear on Card:<br />
        <asp:TextBox ID="CardName" runat="server">Kenny</asp:TextBox>
        <br />
        <br />
        Nationality :<br />
        <br />
        <asp:DropDownList ID="DropDownList2" runat="server">
            <asp:ListItem>Singaporean</asp:ListItem>
            <asp:ListItem>Singapore PR</asp:ListItem>
            <asp:ListItem>Other Nationality</asp:ListItem>
        </asp:DropDownList>
        <br />
        <br />
        NRIC/Passport Number :<br />
        <asp:TextBox ID="NRIC" runat="server">S9518299B</asp:TextBox>
        <br />
        <br />
        Home Country :<br />
        <br />
        <asp:TextBox ID="TextBox4" runat="server">Singapore</asp:TextBox>
        <br />
        <br />
        Date of Birth :<br />
        <asp:DropDownList ID="DropDownList3" runat="server">
            <asp:ListItem>1</asp:ListItem>
            <asp:ListItem>2</asp:ListItem>
            <asp:ListItem>3</asp:ListItem>
            <asp:ListItem>4</asp:ListItem>
            <asp:ListItem>5</asp:ListItem>
            <asp:ListItem>6</asp:ListItem>
            <asp:ListItem>7</asp:ListItem>
            <asp:ListItem>8</asp:ListItem>
            <asp:ListItem>9</asp:ListItem>
            <asp:ListItem>10</asp:ListItem>
            <asp:ListItem>11</asp:ListItem>
            <asp:ListItem>12</asp:ListItem>
            <asp:ListItem>13</asp:ListItem>
            <asp:ListItem>14</asp:ListItem>
            <asp:ListItem>15</asp:ListItem>
            <asp:ListItem>16</asp:ListItem>
            <asp:ListItem>17</asp:ListItem>
            <asp:ListItem>18</asp:ListItem>
            <asp:ListItem>19</asp:ListItem>
            <asp:ListItem>20</asp:ListItem>
            <asp:ListItem>21</asp:ListItem>
            <asp:ListItem>22</asp:ListItem>
            <asp:ListItem>23</asp:ListItem>
            <asp:ListItem>24</asp:ListItem>
            <asp:ListItem>25</asp:ListItem>
            <asp:ListItem>26</asp:ListItem>
            <asp:ListItem>27</asp:ListItem>
            <asp:ListItem>28</asp:ListItem>
            <asp:ListItem>29</asp:ListItem>
            <asp:ListItem>30</asp:ListItem>
            <asp:ListItem>31</asp:ListItem>
        </asp:DropDownList>
&nbsp;<asp:DropDownList ID="DropDownList4" runat="server">
            <asp:ListItem>January</asp:ListItem>
            <asp:ListItem>February</asp:ListItem>
            <asp:ListItem Value="March"></asp:ListItem>
            <asp:ListItem Value="April"></asp:ListItem>
            <asp:ListItem Value="May"></asp:ListItem>
            <asp:ListItem Value="June"></asp:ListItem>
            <asp:ListItem Value="July"></asp:ListItem>
            <asp:ListItem Value="August"></asp:ListItem>
            <asp:ListItem Value="September"></asp:ListItem>
            <asp:ListItem Value="October"></asp:ListItem>
            <asp:ListItem Value="November"></asp:ListItem>
            <asp:ListItem Value="December"></asp:ListItem>
        </asp:DropDownList>
&nbsp;
        <asp:DropDownList ID="DropDownList5" runat="server">
            <asp:ListItem>1995</asp:ListItem>
            <asp:ListItem>1996</asp:ListItem>
            <asp:ListItem>1997</asp:ListItem>
            <asp:ListItem>1998</asp:ListItem>
            <asp:ListItem>1999</asp:ListItem>
            <asp:ListItem>2000</asp:ListItem>
            <asp:ListItem>2001</asp:ListItem>
            <asp:ListItem>2002</asp:ListItem>
            <asp:ListItem>2003</asp:ListItem>
            <asp:ListItem>2004</asp:ListItem>
            <asp:ListItem>2005</asp:ListItem>
            <asp:ListItem>2006</asp:ListItem>
            <asp:ListItem>2007</asp:ListItem>
            <asp:ListItem>2008</asp:ListItem>
            <asp:ListItem>2009</asp:ListItem>
            <asp:ListItem>2010</asp:ListItem>
            <asp:ListItem>2011</asp:ListItem>
            <asp:ListItem>2012</asp:ListItem>
            <asp:ListItem>2013</asp:ListItem>
            <asp:ListItem>2014</asp:ListItem>
            <asp:ListItem>2015</asp:ListItem>
        </asp:DropDownList>
        <br />
        <br />
        Gender :<br />
            <asp:DropDownList ID="DropDownList6" runat="server">
                <asp:ListItem Value="Male"></asp:ListItem>
                <asp:ListItem Value="Female"></asp:ListItem>
            </asp:DropDownList>
        <br />
&nbsp;
        <br />
        <br />
        Postal Code :<br />
        <asp:TextBox ID="PostalCode" runat="server">730645</asp:TextBox>
        <br />
        <br /></fieldset>
        <fieldset>
   <legend>     
       <asp:Label ID="Label2" runat="server" Font-Bold="True" Font-Underline="True" 
            Text="Employment Details" ForeColor="Red" Font-Size="X-Large"></asp:Label></legend>
        <br />
        <br />
        Job Tittle :<br />
        <asp:TextBox ID="JobTittle" runat="server">Employee</asp:TextBox>
        <br />
        <br />
        Employer :<br />
        <asp:TextBox ID="Employer" runat="server">David chua</asp:TextBox>
        <br /></fieldset>
        <br />
        <fieldset>
        <legend>
            <asp:Label ID="Label100" runat="server" Font-Bold="True" Font-Underline="True" 
            Text="My Primary Account For The Card" ForeColor="Red" Font-Size="X-Large"></asp:Label></legend>
        <br />
        <br />
        Account Number :<br />
        <asp:TextBox ID="AccountNo" runat="server">451312-1</asp:TextBox>
        <br />
        <br />
        <br /></fieldset>
        <fieldset>
        <legend><asp:Label ID="Declare" runat="server" Font-Bold="True" Font-Underline="True" 
            Text="Declaration &amp; agreement by Cardholder(s)" Font-Size="X-Large" 
            ForeColor="Red"></asp:Label></legend>
&nbsp;<br />
            <br />
            <asp:RadioButton ID="Agree" runat="server" 
                Text="I agree to the Terms And Services of PS debit card services" 
                Checked="True" />
            <br />
            <br />
            <br />
            <asp:Button ID="Button1" runat="server" Text="Accept" Width="100px" 
                onclick="Button1_Click" />
&nbsp;<asp:Button ID="Button2" runat="server" Text="Decline" Width="100px" 
                onclick="Button2_Click" />
        <br />
        <br />
        </fieldset>
       
    </p>
       
</asp:Content>

 